<div class="hea-conten-top-left-submit background-color">
<h2 class="hea-conten-top-left-submit-head">快速预约通道</h2>
<form method="POST" action="">
<div class="hea-conten-top-left-submit-content">
<?=$create_at?>
<div class="input-cellphone"><input type="text" value="手机号"> <a href="#">
<img src="img/input-zh.jpg"> </a></div>
<div class="input-password"><input type="text" value="密码"> <a href="#">
<img src="img/input-mi.jpg"> </a></div>
<input type="submit" value=" 预约" class="input-submit"></div>
</form>
</div>
